Healthcare Provider Details

I. General information

NPI: 1508444886
Provider Name (Legal Business Name): RAHCO MOBILE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 HILLCREST PARK CT STE A
MOBILE AL
36695-2688
US

IV. Provider business mailing address

6700 MERCY RD STE 400
OMAHA NE
68106-2629
US

V. Phone/Fax

Practice location:
  • Phone: 251-459-8671
  • Fax:
Mailing address:
  • Phone: 402-504-4023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SERGIO OROZCO
Title or Position: BUSINESS OPS COORDINATOR
Credential:
Phone: 402-504-4023